Every hospital in England must have a “comprehensive” GP led triage system in emergency departments by October 2017 in a bid to avoid a repeat of the winter crisis that gripped the service this year, NHS leaders have said.

The requirement is one of several “concrete changes” demanded by NHS England’s chief executive, Simon Stevens, and the chief executive of NHS Improvement, Jim Mackey, in a letter sent after the chancellor Philip Hammond’s budget pledge to give the NHS an extra £100m (€115m; $120m) in 2017‑18 to spend on easing pressures in accident and emergency departments.

We are grateful to Terry McLoughlin, CT2 Emergency Medicine Trainee, currently on rotation at East Cheshire for taking the time to visit the Staff Library recently with this update.

Originally from Liverpool, Terry has previously worked in inner city locations but since February 2014 has been gaining experience in a rural setting, treating adult and paediatric patients in Macclesfield’s A&E department.

Formerly a professional rugby player, Terry has swapped tackling his opponents for tackling the publishing world and has seen one of his articles published in the Journal of Clinical Monitoring and Computing. The article looks at new capnography equipment used in anaesthesia.

Terry acknowledged the help and support of colleagues in A&E and the literature search assistance provided by library staff which had been so useful. As a regular night shift worker, Terry thought the Staff Library’s 24/7 service was an excellent feature and one his colleagues would appreciate.

Next on Terry’s agenda is a trip to Canada in June, where he will be presenting research at the ISPOR 19th Annual International Meeting (Montreal) entitled ‘Low incidence of venous thromboembolism in mobile populations’. This builds on experience gained while working at the Royal London Hospital in 2012 during the London Olympics. At that time the Royal London was the main tertiary hospital for the Olympic village.

We would like to take this opportunity to wish Terry every success when he returns to familiar pastures in his next placement at Liverpool’s Alder Hey Children’s Hospital.

Recruiting for the next free “Nurse First” cohort in Manchester in September 2012Nurse First is the most intensive innovation and leadership programme in the UK for clinical staff. It is a free 21 – day residential programme that runs over a year and includes masterclasses, learning sets and coaching support, developed in partnership with the Queens Nursing Institute, Bucks New University, the Shaftesbury Partnership and Johnson & Johnson. It will support you to: create innovative ideas to clinical challenges, raise the funding needed to make these ideas happen and help you implement them in your organisation. For more information visit: www.nursefirst.org.uk

Get to grips with PDSA testingAre you ready to start PDSA testing around the ‘Safe & Timely Discharge’ interventions? As we start work on PDSA testing of our 4 ‘safe & timely discharge interventions’ I invite you to join me for a practical ‘PDSA – Hands on, Getting to grips with PDSA’ afternoon on 23rd May at the Frank Rifkin Lecture Theatre, at the Mayo Centre, Salford Royal Hospital Trust, 2-4pm.

Advancing Quality Pneumonia collaborative on 29th JuneWe are inviting you and your AQ pneumonia team to this Advancing Quality pneumonia collaborative learning session seven on Friday 29th June 2012. The meeting will include a number of presentations and networking opportunities where we hope to share best practice across the North West in pneumonia care.